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Active, not recruitingNCT05180812Updated Apr 9, 2025

Safety and Feasibility of ExoNET

An interventional study of ExoNet Tuned to Gravity Support in Stroke and Cerebral Vascular Accident, sponsored by Shirley Ryan AbilityLab. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-09.

Sponsored by Shirley Ryan AbilityLab · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, feasibility, and preliminary efficacy of the ExoNET passive robotic device. It will provide upper-extremity gravity compensation for therapeutic movement retraining in the chronic post stroke patient population.

Read the detailed description

The ExoNET, a passive robotic solution that provides a soft, biomimetic, and elastic alternative to robotics that embodies intelligence within the mechanical design. Several groups have been exploring performance enhancement using springs with custom-tuned parameters via optimization. Here, it is possible to have a simple reconfigurable system that can not only assist performance, but can also make training easier, faster, and more complete. This contribution has the potential to be clinically significant for rehabilitating neurologically impaired individuals because this proposal will investigate how motor learning can be facilitated through novel assistive technology.

The primary objective of this study is to evaluate the safety, feasibility and efficacy using the ExoNET. Specifically, investigators want to see if the ExoNET tuned to gravity support will lead to a reduction in bicep muscle activity and an increase in range of motion. To accomplish this aim, we plan to have participants perform reaching, arm elevation and flexion task exercises wearing the ExoNET. To achieve these goals, we will use a wearable activity tracker (MiGo), to detect the number of activities performed, a wearable surface EMG system (Delsys) on the bicep muscles and a markerless system called the Kinect (version 2) to collect distribution of motion.

Investigators hypothesize that individuals with post-stroke arm movement deficits treated with ExoNET gravity compensation will improve their ARAT measures more than controls receiving a sham treatment. Secondarily, treated subjects will improve in other clinical metrics and will make more movements than controls.

02

Conditions studied

  • Stroke
  • Cerebral Vascular Accident

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Keywords

  • Upper Extremity
  • Rehabilitation
  • Stroke
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 20 is below the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Shirley Ryan AbilityLab is the lead sponsor of 177 studies on the registry; 43 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 4 (40%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Ischemic or hemorrhagic stroke (8 months post stroke)
  2. Available medical records and radiographic information about lesion locations
  3. Hemiparesis
  4. Some degree of both shoulder and elbow movement capability
  5. A "moderate" impairment (Fugl-Meyer score between 15-50)

Exclusion criteria

Exclusion Criteria:

  1. Individuals under the age of 18
  2. Bilateral paresis
  3. Shoulder pain and/or articular rigidity on the upper limb joint
  4. Spasticity (Modified Ashworth Scale of 2)
  5. Botox injection to the affected upper extremity within the previous 4 months
  6. Aphasia, cognitive impairment, or affective dysfunction that would influence the ability to perform the experiment
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Experimental Group: Gravity Compensation

    The participants will be wearing the ExoNet device tuned to gravity support.

    Device: ExoNet Tuned to Gravity Support

  • Sham comparator
    Control Group: No Gravity Compensation

    The participants will be wearing the ExoNet device, but it will not be tuned to gravity support.

    Device: ExoNet Tuned to Gravity Support

Interventions

  • DeviceExoNet Tuned to Gravity Support

    This study's primary goal is to test the safety, feasibility, and efficacy of the ExoNET device developed in the Robotics Lab at the Shirley Ryan AbilityLab. We want to observe if individuals using the ExoNET tuned to gravity support will notice a reduction in bicep muscle activity, leading to an improvement in functional outcome measures in stroke patients.

06

What researchers measure

Primary outcomes

  1. Action Research Arm Test

    observational measure used to assess change in upper extremity performance in individuals with a damaged nervous system

    Time frame: Tested at week 1 (baseline evaluations), week 4 (post evaluations), and week 9 (follow-up evaluations)

Secondary outcomes

  1. Fugl-Meyer

    observational measure used to measure change in upper extremity impairment in individuals with a damaged nervous system

    Time frame: Tested at week 1 (baseline evaluations), week 4 (post evaluations), and week 9 (follow-up evaluations)

  2. Wolf Motor Function Test

    Quantitative measure of change of upper extremity motor ability

    Time frame: Tested at week 1 (baseline evaluations), week 4 (post evaluations), and week 9 (follow-up evaluations)

  3. Box and Blocks

    Measures change in unilateral gross motor dexterity

    Time frame: Tested at week 1 (baseline evaluations), week 4 (post evaluations), and week 9 (follow-up evaluations)

Other outcomes

  1. Electromyography using Delsys

    Delsys sensors will be used to measure change in biceps activity

    Time frame: Treatment phases (week 2 and week 3)

  2. Kinect

    markerless system to collect changes of distribution of motion

    Time frame: Treatment phases (week 2 and week 3)

07

Study locations

1 site
  • Shirley Ryan AbilityLab
    Chicago, Illinois 60610, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05180812
Lead sponsor
Shirley Ryan AbilityLab
Responsible party
James Lanphier Patton (Co-Director, Robotics Laboratory, Arms and Hands Lab, Shirley Ryan AbilityLab, Shirley Ryan AbilityLab) — Principal investigator
First posted
Jan 6, 2022
Start date
Mar 1, 2022
Primary completion
Jul 12, 2023
Completion
Jul 12, 2026 (estimated)
Last update
Apr 9, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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